CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Legacy Good Samaritan Medical Center

Billing Code: 84153 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$27
about 1.5× the $18 Medicare rate · typically $21–$33
modeled estimate · not a bill or quote
Medicare pays $18 Fair price $27 Cash price $13 Hospital's list price $19

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Aetnamajor $19 - $34 103%
Cignamajor $66 359%
Kaiser Permanentemajor $18 98%
Health Net $19 - $48 103%
Moda Health $21 - $71 114%
PacificSource $36 - $42 196%
+ 3 smaller / regional plans $19 - $20

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1015 Nw 22Nd Avenue, W121, Portland, OR 97210
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals